Ultrasound diagnostics in solving situational problems in the discipline of clinical pathophysiology

A. B. Makarov, V. N. Tsygan, A. V. Lemeshchenko, M. V. Rezvantsev, T. A. Krivolutskaya, T. A. Bammatov
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Abstract

Aim. Тo train future specialists to effectively apply the methods of pathophysiological research (ultrasound diagnostics) in solving situational problems within the course of clinical pathophysiology.Materials and methods. The 2nd and 3rd year students were trained to use stationary and portable ultrasound machines Phillips CX50 and Chison Sonotouch 80. The students were trained to master ultrasound B and M modes, Doppler ultrasonography, as well as elastography of the most common diseases of the endocrine, digestive, and urinary systems. At the first stage, students worked in tandem with the lecture, observing the process of sensor manipulation. At the second stage, each student conducted a study on his or her fellow student.Results. When conducting ultrasound scanning of the hepatoduodenal zone and kidneys, 65% and 55% of students, respectively, failed to obtain an optimal image and to measure anatomical structures during the assigned time interval. Echocardioscopy was established to be the most difficult method to master when solving situational problems within the topic of “Impaired Systemic Circulation”. This task was successfully performed only by 20% of the students. The optimal student-lecturer ratio was established to be 6:1.Conclusion. The use of new ultrasound technologies in the training process is important for forming students’ professional competencies and increasing their motivation.
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超声诊断解决临床病理生理学学科中的情景问题
目的培训未来的专家有效应用病理生理学研究方法(超声诊断)解决临床病理生理学课程中的情景问题。培训二年级和三年级学生使用固定式和便携式超声波机 Phillips CX50 和 Chison Sonotouch 80。通过培训,学生们掌握了 B 型和 M 型超声波、多普勒超声波以及内分泌、消化和泌尿系统最常见疾病的弹性成像。在第一阶段,学生们配合讲课,观察传感器的操作过程。在第二阶段,每个学生都对自己的同学进行了研究。在对肝十二指肠区和肾脏进行超声扫描时,分别有 65% 和 55% 的学生未能在指定的时间间隔内获得最佳图像和测量解剖结构。在解决 "受损的全身循环 "专题中的情景问题时,超声心动图被认为是最难掌握的方法。只有 20% 的学生成功完成了这项任务。学生与教师的最佳比例为 6:1。在培训过程中使用新的超声技术对于培养学生的专业能力和提高他们的积极性非常重要。
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